Active NPI
Henry Wirtjes
- Chiropractor
- North Port, FL
National Provider Identifier
1184440661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15266
- Practice address
- 1337 N Sumter Blvd
North Port, FL 34286-8072 - Phone
- (877) 442-4476
- NPI assigned
- Nov 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15266 | FL | Primary |
Addresses
Primary practice location
1337 N Sumter Blvd
North Port, FL 34286-8072
Mailing address
1240 Front Place, Apartment 1201
North Port, FL 34287
Phone (320) 760-0578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15266 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732838400000",
"number": "1184440661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 FRONT PLACE, APARTMENT 1201",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "34287",
"telephone_number": "320-760-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 N SUMTER BLVD",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342868072",
"telephone_number": "877-442-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRTJES",
"first_name": "HENRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-29",
"last_updated": "2024-11-29",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "15266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.